HALE NANI REHABILITATION AND NURSING CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Hale Nani Rehabilitation and Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
HALE NANI REHABILITATION AND NURSING CENTER
1677 PENSACOLA STREET
HONOLULU, HI 96822
(808) 537-3371
1677 PENSACOLA STREET
HONOLULU, HI 96822
(808) 537-3371
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
95%Number of Residents and Certified Beds
- Residents: 275
- Certified Beds: 288
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hale Nani Rehabilitation and Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 8.1% |
| ADL Index Range: 6-10 | 55.8% |
| ADL Index Range: 0-5 | 5.1% |
| Total Percent: | 68.9% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 5.5% |
| ADL Index Range: 6-10 | 9.6% |
| ADL Index Range: 0-5 | 1.3% |
| Total Percent: | 16.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 1.0% |
| ADL Index Range: 6-10 | 5.5% |
| ADL Index Range: 0-5 | 0.3% |
| Total Percent: | 6.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 2.3% |
| ADL Index Range: 6-10 | 1.5% |
| Total Percent: | 3.8% |
Low Rehabilitation
Rehabilitation 45 Minutes Per Week Minimum
- Three days any combination of three rehabilitation disciplines
- Two services of restorative nursing six days per week
| ADL Index Range: 11-16 | 0.05% |
| Total Percent: | 0.05% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 0.1% |
| Total Percent: | 0.1% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 0.5% |
| ADL Index Range: 11-14 - No Signs of depression | 0.4% |
| Total Percent: | 1.0% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - Signs of depression | 0.5% |
| ADL Index Range: 11-14 - No Signs of depression | 0.4% |
| ADL Index Range: 6-10 - No Signs of depression | 1.3% |
| Total Percent: | 2.2% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 15-16 - Less restorative nursing | 0.2% |
| ADL Index Range: 11-14 - Less restorative nursing | 0.4% |
| ADL Index Range: 6-10 - Less restorative nursing | 0.05% |
| Total Percent: | 0.6% |
Rating Details For Hale Nani Rehabilitation and Nursing Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 1 Hour and 4 Minutes | 1 Hour and 8 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 15 Minutes | 42 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 49 Minutes | 2 Hours and 36 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 19 Minutes | 1 Hour and 50 Minutes |
| Total Nurse Hours | 4 Hours and 8 Minutes | 4 Hours and 25 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Hawaii Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 11% | 12% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 21% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 73% | 63% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 13% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 12% | 12% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 3% | 6% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 7% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 7% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 82% | 87% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 69% | 85% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 11% | 18% |
| Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 10% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/16/2009.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
|  |  |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| |  |
Have a Program to Keep Infection from Spreading.
| | |
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
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Keep Sound Levels Comfortable.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  | |
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
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Provide Rooms That Are Big Enough for Each Resident.
| | |
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
| | |
Keep Safe, Clean and Homelike Surroundings.
| | |
Keep Sound Levels Comfortable.
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Have a Program to Keep Infection from Spreading.
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Provide Enough Emergency Electricity.
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Provide Rooms That Are Big Enough for Each Resident.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Provide Activities to Meet the Needs of Each Resident.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Hale Nani Rehabilitation and Nursing Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Hale Nani Rehabilitation and Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/16/2009.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Electrical
Weekly Inspections and Monthly Testing of Generators.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Source: Medicare Nursing Home Compare; Hawaii Department of Health - Retrieved 2011
